Individual provider · Type 1 NPI
Diane Clodi, LPC
Professional Counselor · Mesa, AZ
NPI number
1063529147
Active
Practice location
4240 Florian Avenue, Building 1
Mesa, AZ 85206
Mailing address
4240 Florian Ave.
Mesa, AZ 85206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 108005379 (IL) |
| Professional Counselor Primary | 101YP2500X | 5439T (AZ) |
Professional Counselor: Definition to come...
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About NPI 1063529147
Diane Clodi, LPC's National Provider Identifier is 1063529147, issued on Aug 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mesa, AZ. The record was last updated on Jun 11, 2013.